| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,016 |
1,819 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
668 |
633 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
623 |
593 |
$54K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,304 |
4,720 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
657 |
547 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
412 |
391 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
583 |
427 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,715 |
1,508 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
917 |
848 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
65 |
$5K |
| 83655 |
|
252 |
239 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
252 |
223 |
$2K |
| 90474 |
|
91 |
83 |
$1K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
90 |
51 |
$821.50 |
| 90651 |
|
105 |
86 |
$602.24 |
| 85018 |
|
252 |
239 |
$531.47 |
| 90656 |
|
232 |
229 |
$230.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
35 |
$226.61 |
| 90686 |
|
334 |
269 |
$181.11 |
| 90620 |
|
50 |
46 |
$9.78 |
| 90734 |
|
84 |
80 |
$0.00 |
| 90633 |
|
144 |
137 |
$0.00 |
| 3078F |
|
722 |
696 |
$0.00 |
| 90671 |
|
374 |
347 |
$0.00 |
| 90710 |
|
46 |
40 |
$0.00 |
| 90681 |
|
28 |
28 |
$0.00 |
| 90715 |
|
28 |
26 |
$0.00 |
| 3074F |
|
770 |
743 |
$0.00 |
| 90697 |
|
134 |
121 |
$0.00 |
| 90698 |
|
30 |
30 |
$0.00 |